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Habitation of God's glory and the expression of His person

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Couples Retreat Registration

First name*

Last name*

Spouse's Name

Wedding Year

Phone

Email*

Accessibility or room preferences?*

Dietary restrictions? *

Medical concerns we should be aware of?

I will be bringing my children.

Specify the number of kids and their ages.

I'd like to volunteer to help before or during the retreat.

Have you paid the registration fee? - send payment via interact - finance@rccgchristchurch.ca.
Kindly include your name in the payment "message" field, as well as whether you're paying in full or in instalments.

I will be paying at a later date.

Payment date

Signature or typed full name*

2331 90B Street SW,

Edmonton AB, T6X1V6

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